Implications for Practice
Family presence during a resuscitation attempt can affect nurses positively and negatively. It is important that the nurses are confident in their CPR skills, because if they are not, they can become nervous with family watching and the care they give to the patient might not be as effective. It is also important for the nursing staff to know what they would do if the family started to interrupt during the code. A quasi experiment study is titled Family Presence During Resuscitation: Impact of Online Learning on Nurses’ Perception and Self Confidence (Powers & Candela, 2016, p. 302). The aim of this study was to show how learning can impact the self-confidence and perception of family being present during a resuscitation
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Therefore, it is important that education of the benefits of family presence are identified for practice, because if all nurses are hearing are negative thoughts about family presence, they will be less open to the idea of family presence. It was found that most family members who witnessed the resuscitation felt like everything possible was done for their loved one and it brought some closure for the family (Tudor et al., 2014, p.e93). It is also recommended to have an extra staff member present to answer questions for the family (Hassankhani et al., 2016, p. 133). In deciding and asking the family if they would like to be present, it is important to explain what they might observe during the resuscitation (Giles et al., 2016, p. 2712). A debrief session with all medical professionals after the resuscitation to see what can be improved upon will also help with medical professional’s self- confidence (McLean, Gill & Shields, 2016, p. 1050). One of the major risks identified in research is family interfering with the resuscitation either by being emotional, vocal, or physical with the patient and staff present, so it is important for the family to know that they may be asked to leave if they
As a nursing student, I have had some exposure to death during patient care. My first encounter with direct death was witnessing a patient after attempted resuscitation efforts die in the emergency department. As I observed others reactions, I noticed I was the only one who seemed fazed by the preceding events and the end result, although I didn’t show it outwardly. During my Aging and End of life clinical rotation, I have been exposed to a near death experience with a family and I had the rewarding experience of forming a relationship with the patient’s wife during the short hour I was in their home. From reading the accounts in this book, it confirmed to me the importance of catering to the needs of the family and the dying as an important issue to address as they are critical to overall care.
The clinical setting can be terrifying for a nursing student. Nursing students are not only concerned about properly caring for patients, but they have just as much concern regarding the techniques of how to properly address patients and their families in a manner which conveys the care and concern they wish to possess when they become registered nurses. Certainly, heightened levels of anxiety may inhibit a student nurse’s ability to make sound judgment calls with regard to appropriate nursing interventions (Foley, 2016).
Perceptions of Adult Hospitalized Patient on Family Presence During Cardiopulmonary Resuscitation. American Journal of Critical Care, 26(2), 102-110. doi:10.4037/ajcc20175550
I have soon come to realize how much more there is to nursing than just helping and healing. Nursing is not taking care of individuals it is caring for them. Caring is not only important when concerning nurse and patient relationships. It is important in every aspect of humanity. The culture of caring involves intervening programs that help to build caring behaviors among nurses. As nurses become stressed and become down on their life it has shown that caring for oneself before others is key in caring for patients. Also, throughout the years many theorists have proven that caring has come from many concepts and ideas that relate directly to ICU nursing. The knowledge I have gained from reading and reviewing these articles has and will help me to become a better nurse. It will help and provide the pathway for caring in my professional
Williams, B. R., Lewis, D. R., Burgio, K. L., & Goode, P. S. (2012). Next-of-Kin's Perceptions of How Hospital Nursing Staff Support Family Presence Before, During, and After the Death of a Loved One. Journal of Hospice and Palliative Nursing, 14(8), 541-550.
Treating the patient and family as one, can have improved outcomes, decrease hospital stays, increased patient satisfaction, and improved reimbursements for the hospital. Developing a relationship with not only the patient, but family as well, can pay off in the long run by providing better communication, better quality of care, and trust. The patient and family can be strong advocates for improved performance improvement efforts. Including family in the treatment of the patient treats the “whole” patient through their hospitalization. Involving the family can enhance the patients care.
This paper is an academic critique of an article written by Lautrette, et al. (2007) titled: “A Communication Strategy and Brochure for Relatives of Patients Dying in the ICU” and accurately reflected the content of the article and the research study itself. The abstract explained the article in more detail, while remaining concise. The type of research study, sample size, variables, intervention, measurement method, findings, and conclusion were all mentioned in the abstract.
The societal taboo associated with death and dying is only worsened when death becomes imminent for an infant or child. Pediatric death and dying is a seldom discussed and often evaded topic in healthcare. This topic, although somber and challenging, is relevant for those nurses who encounter pediatric death and dying first hand. The following discussion will define death and dying in a pediatric population, identify the role of the bedside nurse in support of the dying child and parents of child, the bedside nurse’s role in an interdisciplinary team on a floor where death is a common occurrence, and promotion of nursing self-care to combat compassion fatigue and burnout.
The nursing discipline embodies a whole range of skills and abilities that are aimed at maximizing one’s wellness by minimizing harm. As one of the most trusted professions, we literally are some’s last hope and last chance to thrive in life; however, in some cases we may be the last person they see on earth. Many individuals dream of slipping away in a peaceful death, but many others leave this world abruptly at unexpected times. I feel that is a crucial part to pay attention to individuals during their most critical and even for some their last moments and that is why I have peaked an interest in the critical care field. It is hard to care for someone who many others have given up on and how critical care nurses go above and beyond the call
Wall, Y., & Kautz, D. (2011). Preventing sentinel events caused by family members. Dimensions of Critical Care Nursing, 30(1), 25-27. doi: 10.1097/DCC.0b013e3181fd02a0
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
One of the most poignant statements that I have heard during my tenure in nursing school is that “Nurses are often the first person that an infant sees at birth and the last person that a patient sees upon death.” Nurses have contact with patients recurrently along this continuum of life, now more than ever. This is due to the world’s aging population and the correlating factor of higher patient acuity (Larson, 2013). This frequent and close contact with nurses has fostered a sense of trustworthiness in the minds of U.S. citizens. This is evidenced by a recent Gallup Poll which listed nurses as the most honest and ethical professionals in America (www.galluppoll.com, 2015). Nurses have the challenging task of providing this trust-worthy,
In a pre-hospital setting, there are few moments that are as intense as the events that take place when trying to save a life. Family presence during these resuscitation efforts has become an important and controversial issue in health care settings. Family presence during cardiopulmonary resuscitation (CPR) is a relatively new issue in healthcare. Before the advent of modern medicine, family members were often present at the deathbed of their loved ones. A dying person’s last moments were most often controlled by his or her family in the home rather than by medical personnel (Trueman, History of Medicine). Today, families are demanding permission to witness resuscitation events. Members of the emergency medical services are split on this issue, noting benefits but also potentially negative consequences to family presence during resuscitation efforts.
Athletes using performance drugs should forfeit and give up their titles in lieu of cheating Athletes that use the drugs are not truly competing they are CHEATING! These drugs are used to enhance their performance and give them a strong advantage over others. If caught using these drugs they should suffer the same fate as Lance Armstrong. “Lance Armstrong was stripped of his seven Tour de France titles” however the fate of Barry Bonds “…Barry Bonds was found guilty for the use of (HGH) Human Growth Hormones. His record was never taken away from him.”
The nurse stated during the interview that “holding the hand of the patient just diagnosed with a terminal illness” (Appendix A) is difficult and requires a variety of techniques to face the situation. There are many ways to approach a dying patient, and one study identified four themes that help nurses in creating a “’curtain of protection’ to mitigate the grieving process and allow them to provide supportive nursing care” (Gerow et al., 2010). Of the four approached, there is one that appears to make the greatest impact on the nurse; the fact that initial patient deaths are formative. In this case, a study found that “significant death experiences early in a nurse’s career set the foundation for how the nurse began caring for future dying patients” (Gerow et al., 2010), which was further explained as the fact that those who had enough support and mentorship early on in their nursing practice were more likely to not be emotionally damaged by the event, and were able to better approach similar situations in the future. I plan on implementing this strategy in the future by surrounding myself with colleagues and mentors within my practice that I am comfortable confiding in whenever I happen to be struggling. A strong support network is key for maintaining proper emotional health, which is important for a nurse to have when working with vulnerable patients and providing competent